Individual Academic Therapy Registration

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Please complete the form below to register for the 2024 Academic Therapy Summer Program. A $250 non-refundable deposit is required at time of registration for all programs. Payment in full is due by first week of camp. No portion of camp is refundable. All summer programs will be closed on Wednesday, June 19th and Thursday, July 4th.

Individual Academic Therapy 2024 Registration

Gender(Required)
MM slash DD slash YYYY
Address(Required)
Academic Therapy Subject Area:
Media Release(Required)
I authorize Chesapeake Bay Academy to use, reproduce, and/or publish photographs and/or video of my enrolled child – including name, likeness and/or voice. I understand that this material may be used in various publications, recruitment materials, or for other related endeavors. This material may also appear on the Chesapeake Bay Academy website and or social media channels. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, Chesapeake Bay Academy may publish materials, use my name, photograph, and/or make reference to me in any manner that Chesapeake Bay Academy deems appropriate in order to promote/publicize marketing and communication opportunities.